Individual
ANNA KANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3300
(919) 873-9533
Mailing address
4211 ISBELL ST, SILVER SPRING, MD 20906-4223
(301) 789-6836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024177343
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2018
Last updated
02/22/2019
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